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A Comparative Study of Ossicular Reconstruction with TORP/PORP Versus Autologous Bone in Middle Ear Surgeries
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A Comparative Study of Ossicular Reconstruction with TORP/PORP Versus Autologous Bone in Middle Ear Surgeries
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Journal Article
A Comparative Study of Ossicular Reconstruction with TORP/PORP Versus Autologous Bone in Middle Ear Surgeries
2024
Overview
Chronic otitis media causes considerable morbidity in the form of hearing disability to the patient. Otologists aim to achieve through their surgery a near normal neo-membrane with continuous ossicular chain and a postoperative middle ear status which functionally bears close resemblance to the normal state. The objective of this study is to compare ossicular reconstruction with TORP/PORP versus autologous bone and compare the air–bone gap before and after surgery. This study was done at a tertiary care referral center. Eighty patients of chronic otitis media were divided into two groups and patients underwent cortical mastoidectomy with ossicular reconstruction in the form of TORP/PORP in one group and autologous bone in another. In the TORP/PORP group, the mean preoperative air–bone gap was 45.4 dB which was reduced to a mean air–bone gap of 19.45 dB. In the bone ossiculoplasty group, the mean preoperative air–bone gap was 43.38 dB which was reduced to a mean air–bone gap of 21.84 dB postoperatively. This study indicated that patients who underwent reconstruction with TORP/PORP had better improvement than those who received autologous bone. The results were statistically significant. Two cases who received TORP/PORP had extrusion due to infection. The patients were followed up till 1 year postsurgery.
Publisher
Springer International Publishing,Springer Nature B.V
Subject
